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This case shows how imparitive the proper idenification of patient that are eligible and in office testing of spirometry is in the diagonisis of COPD. If not for this conclusive test done in the office the treatment plan is not as clear and decisive. Many addition diagnostics must be ran to come to the same conculsion. The spirometry test allow for the patient to recieve the needed medications, rehabilation treatment and preventative treatments they need. It also provides a way to measure progression desease in a noninvassive manor. The patient may have permanent, changes to her pulmonary status, but there are still many medical resources that can be utilized to continue maximizing her quality of life. It is important to note that preventative measures and screenings are extremely important to control disease once COPD is already established. Specifically for this patient, is medical management to help provide relief, prevent exesperations, education, and yearly screenings. fix grammer and edits

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